Factors associated with work ability in patients with chronic whiplash-associated disorder grade II-III: A cross-sectional analysis

J Rehabil Med. 2015 Jun;47(6):546-51. doi: 10.2340/16501977-1960.

Abstract

Objective: To investigate the factors related to self-perceived work ability in patients with chronic whiplash-associated disorder grades II-III.

Design: Cross-sectional analysis.

Patients: A total of 166 working age patients with chronic whiplash-associated disorder.

Methods: A comprehensive survey collected data on work ability (using the Work Ability Index); demographic, psychosocial, personal, work- and condition-related factors. Forward, stepwise regression modelling was used to assess the factors related to work ability.

Results: The proportion of patients in each work ability category were as follows: poor (12.7%); moderate (39.8%); good (38.5%); excellent (9%). Seven factors explained 65% (adjusted R2 = 0.65, p < 0.01) of the variance in work ability. In descending order of strength of association, these factors are: greater neck disability due to pain; reduced self-rated health status and health-related quality of life; increased frequency of concentration problems; poor workplace satisfaction; lower self-efficacy for performing daily tasks; and greater work-related stress.

Conclusion: Condition-specific and psychosocial factors are associated with self-perceived work ability of individuals with chronic whiplash-associated disorder.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Chronic Disease
  • Cross-Sectional Studies
  • Employment*
  • Female
  • Health Status
  • Humans
  • Male
  • Middle Aged
  • Neck Pain / psychology
  • Persons with Disabilities*
  • Quality of Life
  • Self Efficacy
  • Stress, Psychological / etiology
  • Surveys and Questionnaires
  • Whiplash Injuries / classification
  • Whiplash Injuries / complications*
  • Whiplash Injuries / psychology